Organization
METRO EAST PERIODONTICS, PLLC
Active
Other names
Metro East Dental Implants & Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED SHABANY DMD, MS (PERIODONTIST)
(618) 258-1244
Entity
Organization
Contact information
Practice address
160 S BELLWOOD DR STE C, EAST ALTON, IL 62024-2086
(618) 258-1244
Mailing address
160 S BELLWOOD DR STE C, EAST ALTON, IL 62024-2086
(618) 258-1244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
01/23/2023
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